Healthcare Provider Details

I. General information

NPI: 1437447406
Provider Name (Legal Business Name): HANDFAMILYCHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2011
Last Update Date: 07/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 ROOSEVELT AVE
HUDSON NH
03051-2879
US

IV. Provider business mailing address

8 ROOSEVELT AVE
HUDSON NH
03051-2879
US

V. Phone/Fax

Practice location:
  • Phone: 603-595-6656
  • Fax: 603-886-8841
Mailing address:
  • Phone: 603-595-6656
  • Fax: 603-886-8841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number560-0499
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number560-0499
License Number StateNH

VIII. Authorized Official

Name: DR. LAURIE ELIZABETH HAND
Title or Position: OWNER
Credential: D.C.
Phone: 603-595-6656